Organization
DAVID J. HAUSS, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JONATHAN HAUSS D.M.D. (DENTIST/OWNER)
(562) 435-8339
Entity
Organization
Contact information
Practice address
823 ATLANTIC AVE, LONG BEACH, CA 90813-4512
(562) 435-8339
Mailing address
823 ATLANTIC AVE, LONG BEACH, CA 90813-4512
(562) 435-8339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B31076-01
—
CA
Enumeration date
04/22/2008
Last updated
04/22/2008
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